Healthcare Provider Details

I. General information

NPI: 1811960461
Provider Name (Legal Business Name): BIRJIS CHINOY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 08/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 WARREN PKWY STE 200
FRISCO TX
75034-2292
US

IV. Provider business mailing address

8000 WARREN PKWY STE 200
FRISCO TX
75034-2292
US

V. Phone/Fax

Practice location:
  • Phone: 469-633-1868
  • Fax: 214-618-1915
Mailing address:
  • Phone: 469-633-1818
  • Fax: 214-618-1915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberL7614
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberL7614
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: